| NPI | 1215489380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAISTA WAQAR SIDDIQUI Member/Owner 318-820-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA A826612) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 17496 PT) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: LA A826613) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2017-01-25 |